Individual provider · Type 1 NPI

Jessica R. Fasburg, LPC

Professional Counselor · Grand Rapids, MI

NPI number 1356012249 Active

Practice location

300 68th St SE
Grand Rapids, MI 49548-6927

Fax (616) 281-6459

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401019406 (MI)

Professional Counselor: Definition to come...

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About NPI 1356012249

Jessica R. Fasburg, LPC's National Provider Identifier is 1356012249, issued on Sep 21, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 17, 2024.